Worker Protection Form.pdf
PDF 77 KB Posted
- Attached to
- Water & Fish Sample Testing
- Solicitation number
- 6100059993
- Issued by
- Centre County, Bethel CDP, Sugarcreek Borough, Pennsylvania
About this file
The document is a Worker Protection and Investment Certification Form required for contractors and grantees of the Commonwealth of Pennsylvania. It certifies that the contractor or grantee is compliant with various Pennsylvania state labor and workplace safety laws, including the Construction Workplace Misclassification Act, Minimum Wage Act, Prevailing Wage Act, and others listed. The certification must be signed by an authorized official, and providing false information can result in contract termination and three-year ineligibility to bid on contracts.
The related state and local contract opportunity is for a vendor to analyze water and fish tissue samples for PCBs and PFAS compounds on an as-needed basis for the PA Fish & Boat Commission. This is an Invitation for Bids (IFB), and only electronic bid responses will be accepted. Interested vendors must register at www.pasupplierportal.com to submit a bid. The contract will be awarded to the successful bidder, and the jurisdiction involved is Centre County, Pennsylvania.
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Text version
WORKER PROTECTION AND INVESTMENT CERTIFICATION FORM
A. Pursuant to Executive Order 2021-06, Worker Protection and Investment (October 21, 2021), the
Commonwealth is responsible for ensuring that every worker in Pennsylvania has a safe and healthy work environment and the protections afforded them through labor laws. To that end, contractors and grantees of the Commonwealth must certify that they are in compliance with Pennsylvania’s Unemployment
Compensation Law, Workers’ Compensation Law, and all applicable Pennsylvania state labor and workforce safety laws including, but not limited to:
1. Construction Workplace Misclassification Act
2. Employment of Minors Child Labor Act
3. Minimum Wage Act
4. Prevailing Wage Act
5. Equal Pay Law
6. Employer to Pay Employment Medical Examination Fee Act
7. Seasonal Farm Labor Act
8. Wage Payment and Collection Law
9. Industrial Homework Law
10. Construction Industry Employee Verification Act
11. Act 102: Prohibition on Excessive Overtime in Healthcare
12. Apprenticeship and Training Act
13. Inspection of Employment Records Law
B. Pennsylvania law establishes penalties for providing false certifications, including contract termination; and three-year ineligibility to bid on contracts under 62 Pa. C.S. § 531 (Debarment or suspension).
CERTIFICATION
I, the official named below, certify I am duly authorized to execute this certification on behalf of the contractor/grantee identified below, and certify that the contractor/grantee identified below is compliant with applicable Pennsylvania state labor and workplace safety laws, including, but not limited to, those listed in
Paragraph A, above. I understand that I must report any change in the contractor/grantee’s compliance status to the Purchasing Agency immediately. I further confirm and understand that this Certification is subject to the provisions and penalties of 18 Pa. C.S. § 4904 (Unsworn falsification to authorities).
Signature Date
Name (Printed)
Title of Certifying Official (Printed)
Contractor/Grantee Name (Printed)
BOP-2201
Published: 02/07/2022
File details come from the government source that posted it. Updated .